Koopmann C F, Moran W B
Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical Center, Ann Arbor.
Otolaryngol Clin North Am. 1990 Aug;23(4):787-808.
The authors have reviewed the surgical management of patients with OSA. They have emphasized not only surgical techniques but also the method of preoperative evaluation of the patients and have presented some considerations in the postoperative management of patients in an attempt to avoid catastrophic results. As our diagnostic techniques improve, we should have fewer problems with the determination of the amount of tissue to remove and also the selection of the appropriate procedure. The advent of flexible laryngoscopy, cineradiography, and cine CT may indeed improve our diagnostic and therapeutic capabilities.
作者回顾了阻塞性睡眠呼吸暂停(OSA)患者的外科治疗。他们不仅强调了手术技术,还强调了患者术前评估的方法,并提出了一些术后管理的注意事项,以避免灾难性后果。随着我们诊断技术的提高,在确定切除组织量和选择合适手术方法方面应会出现更少的问题。可弯曲喉镜检查、动态放射摄影和动态CT的出现确实可能提高我们的诊断和治疗能力。